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Contact Information

JUDITH P LEAVITT, ED.D.
35 MAIN ST
WAYLAND, MA01778-5037
 Phone: 508-653-8874
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JUDITH P LEAVITT · (Female)

NPI # 1619041621
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 11/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 2973
  • MA Other 2973 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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